Providers Section of PhoneBook Module
This section has the following topics...
The Providers Section of the PhoneBook Module contains all the physicians whose names, addresses or insurance numbers must appear either on the printed bill or on your letters to these physicians.  This section also holds extra information on EACH doctor in your practice. Providers that bill in your office are assigned a unique "Office Doctor Number. The main entry screen is shown below.



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Creating a New Provider record
To create a new record click the New Button and confirm your selection at the dialog box. Most of the fields are straightforward.
Three addresses per provider
Many physicians have multiple offices. Address 1 is the primary address. The Default field selects which address actually is the primary address and which address is used to send Letters.

In Practice Title of Address 1 enter the actual title of the practice, such as “Ophthalmology Associates”. The Practice Title field of address 1 is used to link physicians in the same practice and therefore must be carefully entered. All providers in the same practice will be listed in the list located directly below Picklist and Specialty. Clicking on a provider's name in this list show that record.

Special Functions
Office Doc
This button takes you to a screen for detailed information only on those doctors in the practice under whom claims are billed. There are several sections on this screen as seen below.



Office Provider Information - This section has this provider’s Office Doctor’s Number. If you are entering a new office doctor, clicking Assign Next will automatically assign the next number to this provider. If there is a particular Fee Schedule associated to this provider (i.e.: 14), enter it here. When this provider sees patients, PracticeMaker® will automatically check the procedure for this fee schedule and bill accordingly. If this field remains blank, then the fee schedule assigned to the primary insurance of a claim will be used. When this field contains a value it overrides any other fee schedule!

Personalized Letterhead - These fields have information used to create the letterhead in the Letters module (if part of your system). This way each letter can be personalized with each provider’s special information. There is one line for the Letterhead Name and two (2) lines of Letterhead Extra. Review the Letters Module section to learn about customizing your letterhead!

Current Office Doctors - This shows a list of all doctors assigned Office Doctor numbers!

When you are finished checking/reviewing the information here, click Return and you will be taken
back to the Provider screen.

Provider Numbers
This button takes you to a screen were the UPIN, Blue Shield, Medicare and other numbers for this provider are stored.



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Enter as many insurance numbers that you need for this Provider.

The UPIN must be entered if the patient was seen in consultation for this doctor so that Medicare can identify the referral source.  If the UPIN is not entered, and a procedure is done that requires one, PracticeMaker® will not allow the invoice to be completed until a doctor with a UPIN is assigned to the claim!  Other insurances, such as Medicaid, require the referring doctor’s Medicaid number appear o the claim. Provider number 1 through 6 cannot be changed and are system requirements.

Provider number fields 7 to 22 can be customized with the name of the insurance carrier that uses that number. The name entered here is used to create the pick list used in the Insurance Module when you need to link an insurance to a specific provider number. For example, Aetna is number 7, Cigna is number 8 and Oxford is number 9. If a "provider number" is available for any of these carriers, enter it in the corresponding field.

When you are done click Return.

Hospital Affiliations
You can link a provider to three facilities. Basically this is done so you will known where other providers see patients.

Insurances Accepted
In this field enter the name of the insurances that this provider accepts, such as Aetna, Cigna, Travelers. This is for non-office providers.

Flagged Records
One of the strong features of this section of the PhoneBook is being able to maintain mailing lists of your providers so you can send them bulk mail correspondence. There are four fields that you can use to flag records and then find those flags. These fields, Flag 1 to Flag 4, can be checked or unchecked as needed. On the List screen these fields can be checked or unchecked one at a time or for the entire found set of records.




If you click on one of check boxes above one of the Flag Fields you will get the dialog box below. For example, if the current record you are in has that flag field "unchecked" then all records in the found set you are in will be "unchecked" if you click Update. This method allows to to have a mass effect. Be careful with this feature as it is permanent.



Edit Merge
Instead of using a word processor and mail merge to create form letters to send to referral sources, you can use the PhoneBook Module instead. Click this button to edit the appearance of the letter that will get printed and the text of the letter itself. Below is an example screen.


Export Records
You can export to the Forms Module the current found set of records. You can decide what to do with those records while inside the Forms Module.




updated 9/4/2004